Lahoz C, Alonso R, Porres A, Mata P
Unidad de Investigación en Lípidos, Fundación Jiménez Díaz, Universidad Autónoma de Madrid.
Med Clin (Barc). 1999 Feb 6;112(4):133-7.
Plasma glucose, insulin and blood pressure are wellknown cardiovascular risk factors, which may be influence by dietary factors. The aim of the study was to investigate whether changes in dietary fatty acids could modify plasma concentration of glucose, insulin and mean blood pressure (MBP).
Forty two subjects (18 women and 24 men) were placed in four consecutive five week diet periods. Energy intake from proteins, carbohydrates and fats was constant during the study and there was only changes on fatty acids composition. First period was enriched on saturated fatty acids (SFA), second period on monounsaturated fatty acids (MUFA) and third and fourth periods were enriched on polyunsaturated fatty acids (PUFA). Fourth period was also enriched on PUFA n-3.
No significant changes were found on glucose and insulin plasma concentration. However, a significant effect was detected on MBP on total population (p < 0.0001) and by gender. MUFA and PUFA n-3 enriched diet decreased significantly MBP compared to SFA enriched diet AGS (85.7, SD 9.1, 87.3, SD 8.7 y 90.3, SD 8.8 mmHg, respectively). In addition, a weak (r = 0.28) but significant (p = 0.002) correlation was found between MBP and plasma insulin.
Diets enriched on MUFA fatty acids and n-3 fatty acids decrease significantly MBP without modifying glucose and insulin plasma concentration.
血糖、胰岛素和血压是众所周知的心血管危险因素,它们可能受饮食因素影响。本研究的目的是调查饮食脂肪酸的变化是否会改变血糖、胰岛素的血浆浓度以及平均血压(MBP)。
42名受试者(18名女性和24名男性)被安排进行连续四个为期五周的饮食阶段。在研究期间,蛋白质、碳水化合物和脂肪的能量摄入保持恒定,仅脂肪酸组成发生变化。第一阶段富含饱和脂肪酸(SFA),第二阶段富含单不饱和脂肪酸(MUFA),第三和第四阶段富含多不饱和脂肪酸(PUFA)。第四阶段还富含n-3多不饱和脂肪酸。
血糖和胰岛素的血浆浓度未发现显著变化。然而,在总体人群中以及按性别分析时,均检测到对平均血压有显著影响(p < 0.0001)。与富含SFA的饮食相比,富含MUFA和n-3多不饱和脂肪酸的饮食显著降低了平均血压(分别为85.7,标准差9.1;87.3,标准差8.7;90.3,标准差8.8 mmHg)。此外,平均血压与血浆胰岛素之间发现了微弱(r = 0.28)但显著(p = 0.002)的相关性。
富含MUFA脂肪酸和n-3脂肪酸的饮食可显著降低平均血压,而不改变血糖和胰岛素的血浆浓度。